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[A voluminous exteriorized odontogenic keratocyst]
St Puyraud1, St Orsel, St Michlowsky
1CHU Dupuytren, Clinique ORL, Limoges, France.
Revue De Laryngologie - Otologie - Rhinologie
|October 14, 1998
Summary
This case study details the surgical removal of a large, exteriorized jaw keratocyst in a 63-year-old male patient. The procedure involved cyst puncture, examination of cyst fluid, and non-interrupting mandibulotomy for complete cyst excision.
Area of Science:
- Oral and Maxillofacial Surgery
- Pathology
- Surgical Oncology
Background:
- Odontogenic keratocysts (OKCs) are common developmental cysts of the jaw, known for their high recurrence rate.
- Exteriorized keratocysts, while rare, present unique surgical challenges due to their size and location.
Observation:
- A 63-year-old male presented with a voluminous, exteriorized keratocyst originating from the jaw.
- Initial cyst puncture was performed to reduce volume and facilitate surgical access.
- Anatomopathological examination of the aspirated fluid confirmed the presence of epithelial cells, consistent with a keratocyst.
Findings:
- Complete surgical enucleation of the keratocyst was achieved using a non-interrupting mandibulotomy approach.
- A cervical incision provided optimal access for the surgical procedure.
- Histopathological analysis confirmed the diagnosis of keratocyst.
Implications:
- This case highlights a successful surgical technique for managing large, exteriorized jaw keratocysts.
- Minimally invasive approaches like cyst puncture can aid in complex oral surgeries.
- Effective surgical management is crucial for preventing recurrence of keratocysts.